Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem statement: Across surgical specialties, and regardless of superior surgical technique, perioperative care, and anesthesia care, patients can experience extended length of hospital…
Nearly a third (30%) of ambulatory surgery center (ASC) leaders have experienced layoffs of direct care staff during the past year, according to the 2020 annual OR Manager Salary/Career Survey, up from a mere 4% in 2019. COVID-19 is the likely culprit: Most of the comments received in response to…
Editor's Note The 7-day moving average of new COVID-19 cases in the US, a key metric for gauging the severity of the disease, dropped below 50,000 on August 18 for the first time since early July, the Centers for Disease Control and Prevention (CDC) reports. On August 19, the CDC…
Editor's Note This study by noted nurse researcher Linda Aiken, PhD, RN, FAAN, and colleagues at the University of Pennsylvania School of Nursing, Philadelphia, finds that hospital nurses were burned out and working in understaffed conditions in the weeks preceding the COVID-19 pandemic, posing risks to the public’s health. The…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced August 17 that it will resume routine inspections of all Medicare and Medicaid certified providers and suppliers. CMS suspended certain routine inspections as part of its response to the COVID-19 pandemic to prioritize infection control and immediate jeopardy situations…
Editor's Note Four national organizations have released a joint statement on maintaining essential surgical procedures as the COVID-19 pandemic continues, the American College of Surgeons (ACS) reported on August 13. The joint statement from the ACS, American Society of Anesthesiologists, AORN, and American Hospital Association, provides a list of principles…
Editor's Note The American College of Surgeons (ACS) on August 4 announced that it is strongly opposed to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule proposed rule for CY 2021. In the fee schedule, which is set to take place January 1, 2021, Medicare payments will…
Editor's Note From January through April 2020, emergency department (ED) visits decreased and hospital admissions increased in this study of five healthcare systems in five states. In the 24 EDs studied, the annual volume before the COVID-19 pandemic ranged from 13,000 to 115,000 visits per year. The largest decrease in…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on August 4 released the 2021 proposed payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). Among the proposals in the rule: CMS proposes to expand the number of procedures that Medicare would pay for when performed…
Editor's Note US News & World Report on July 28 released its 2019-2020 Best Hospitals Honor Roll. The top five are: Mayo Clinic, Rochester, Minnesota Cleveland Clinic Johns Hopkins Hospital, Baltimore New York-Presbyterian Hospital-Columbia and Cornell, New York City, and UCLA Medical Center, Los Angeles (tie) Massachusetts General Hospital, Boston…